1. 1 At the Heart of Saving Lives – Shockingly Obvious! Creating a Heartsafe Environment Steve Jelfs, International Clinical Manager, Defibrillation

2. 2 1 Sudden Cardiac Arrest – The Problem

3. 3 Sudden Cardiac Arrest : The Problem - 1

4. 4 Sudden Cardiac Arrest : The Problem -2 National survival rate at best in pre-hospital SCA only 1 to 5%. Chain of survival must be complete to increase survival rate. “Early Defibrillation” weak link. 90% of SCA patients initial rhythm is Ventricular Fibrillation. Early defibrillation is the only definitive treatment for VF.

5. Time is the key Survival rates after VF Cardiac arrest decrease approximately 7% to 10% with every minute that defibrillation is delayed. 1 Source: Guidelines 2000 for Cardiovascular Resuscitation and Emergency Cardiovascular Care.Circulation. 2000;102(supplement I)8. August 22,2000

6. 6 Response Times and Survival Rates

7. The Chain of Survival

8. 8 2 What is Sudden cardiac arrest?

10. Heart attack Vs Sudden Cardiac Arrest A ‘Heart Attack’ occurs when something blocks the blood flow to the heart muscle and the cardiac tissue is starved of oxygen and dies – A ‘plumbing problem’ A Sudden Cardiac Arrest occurs when something interferes with the electrical conduction process in the heart - An ‘electrical problem’

11. 11 3 The Solution

12. Automated External Defibrillators (AEDs) - 1 A device specifically designed for non-medical personnel to treat SCA. Available for non-medical personnel to use since early 1990s. Widespread use in the work place, airports, railway stations and other public areas across the world. Easy to use, safe and effective. Easy to train – Four hours CPR/AED course. Vital part of an emergency response kit.

13. Automated External Defibrillators (AEDs) - 2 AEDS are designed to analyse the patient’s heart rhythm when they are : Unconscious Not breathing normally When a shockable rhythm is detected, the rescuer is instructed to press a button to deliver a shock. AEDs will not allow a shock to be delivered unless the patient is in sudden cardiac arrest.

14. Automated External Defibrillators (AEDs) - 3 AEDS should be : Reliable – always Rescue Ready. Easy to use. Able to deliver effective technology. Not all AEDs are the same!

15. Using the AED Semi-Automatic AED 1.Open the lid 2.Place the defibrillation pads on the patient. 3.If directed by the AED, press the ‘shock’ button. Automatic AED 1.Open the lid 2.Place the defibrillation pads on the patient. 3.The automatic AED will analyze and, if appropriate, deliver a ‘shock’ to the patient without any rescuer intervention.

16. Are you Heartsafe? The environment you work in is : Fire Safe Accident safe Disease safe BUT : Is it Heartsafe?

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